Organization Active NPI

Nova Diagnostic Inc

  • Clinical Medical Laboratory
  • Granada Hills, CA
National Provider Identifier
1326393059
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NOVA DIAGNOSTIC INC
Practice address
17404 Horace St
Granada Hills, CA 91344
Phone
(818) 497-3476
NPI assigned
Jul 18, 2012
Last updated
Oct 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristina Aleksanyan
Title
Office Manager
Phone
(818) 497-3476

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Technician 2472E0500X
Clinical Medical Laboratory 291U00000X Primary
Sleep Specialist (PhD) 173F00000X

Addresses

Primary practice location

17404 Horace St
Granada Hills, CA 91344

Mailing address

12918 Sherman Way
130
North Hollywood, CA 91605-4953
Phone (818) 497-3476

National Provider Directory

National Provider Directory

Locations

12918 Sherman Way
#130
North Hollywood, CA 91605
Phone (818) 497-3476

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1326393059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12918 SHERMAN WAY",
            "address_2": "130",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054953",
            "telephone_number": "818-497-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17404 HORACE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-497-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "ALEKSANYAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-497-3476"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.